著者

中川 直人 Leanne Lai 眞野 成康

出版者

一般社団法人日本医療薬学会

雑誌

医療薬学 (ISSN:1346342X)

巻号頁・発行日

vol.39, no.1, pp.25-32, 2013-01-10 (Released:2014-01-10)

参考文献数

29

被引用文献数

1

---

This article discusses pharmacy practice training in the US and Japan for the purpose of improving pharmacy practice training in Japan. The authors compare the Advanced Pharmacy Practice Experience (APPE) in Nova Southeastern University (NSU) Doctor of Pharmacy program with the pharmacy practice training in Japan. The NSU APPE inhospital focuses on clinical practice training. It does not provide dispensing and drug distribution practice training, which are important as basic practice in Japan. On the other hand, there is no difference in the community pharmacy training between the NSU APPE and the pharmacy practice training in Japan.The article also examines students' limits in the NSU APPE and pharmacy practice training in Japan, classifying participation as (A) students performance without preceptors with post-performance approval by preceptors and (B) students performance under direct preceptor's supervision. There is no difference in hospital training between the NSU APPE and pharmacy practice training in Japan. However, there are significant limits on dispensing practice training in community pharmacies in Japan.

著者

鹿角 昌平

出版者

一般社団法人日本医療薬学会

雑誌

医療薬学 (ISSN:1346342X)

巻号頁・発行日

vol.38, no.10, pp.628-633, 2012-10-10 (Released:2013-10-10)

参考文献数

9

---

Although the importance of generic medicines has been increasing in recent years, knowledge about related intellectual property rights disputes is scarce, so the purpose of this study is to analyze disputed cases of intellectual property rights as a supply risk of generic medicines. With 57 analyzed cases, the right to seek injunction was accepted in 4 cases, but provisional execution was not accepted. Furthermore the right to seek injunction was actually executed in only 1 case. Therefore, there were disputed cases of intellectual property rights as a supply risk of generic medicines, but it was suggested that the risk is restricted.

著者

中島 輝一 真野 泰成 大内 かおり 佐藤 大輔 岩田 杏子 樋口 安耶 江原 邦明 加藤 芳徳 廣澤 伊織 田島 正教 土屋 文人 山田 治美 小瀧 一 旭 満里子

出版者

一般社団法人日本医療薬学会

雑誌

医療薬学 (ISSN:1346342X)

巻号頁・発行日

vol.38, no.9, pp.599-608, 2012-09-10 (Released:2013-09-12)

参考文献数

9

被引用文献数

4 17

---

We established a pharmaceutical outpatient clinic at the International University of Health and Welfare Mita Hospital. In the clinic, pharmacists provide mainly pharmaceutical care for cancer outpatients based on prescriptions from a doctor, and then feed back the contents of medication counseling and information about patients to doctors.In this study, we evaluated the role of the pharmaceutical outpatient clinic. From April to July 2011, we investigated retrospectively the contents of feedback from pharmacists to doctors. The contents consisted of three types of information such as medication counseling, history of side effects and allergy, and uneasiness from patients. Most of this information was on side effects. Approximately 42% of uneasiness from patients was about the side effects of chemotherapy. Furthermore, we conducted a questionnaire survey in 62 cancer outpatients that gave informed consent during the period as mentioned above. The results showed that the degree of understanding of drugs on treatment and prevention of the onset of side effects after consultation was markedly improved compared with those before consulting. Many patients (50/62) felt “uneasiness about treatment" and “some uneasiness" before consultation. However, 88.0% (44/50) of them noted that their “anxiety was eased" after consultation. The degree of reduction in uneasiness in patients with stage Ⅰ and Ⅱ breast cancer was larger than that with stage Ⅲ and Ⅳ. In conclusion, it is suggested that the clinic may play a role which makes it possible to enable cancer outpatients to participate in medical treatment with ease, in addition to enabling support for doctors.

著者

吉田 侑矢 辻 琢己 細田 敦規 河野 武幸 久保 貞也 佐竹 正人 難波 洋 瀬野 智美 前田 定秋

出版者

一般社団法人日本医療薬学会

雑誌

医療薬学 (ISSN:1346342X)

巻号頁・発行日

vol.38, no.5, pp.288-298, 2012-05-10 (Released:2013-05-10)

参考文献数

3

被引用文献数

2 1

---

In the future, over-the-counter (OTC) drugs for chronic diseases, such as diabetes mellitus, hypertension and hyperlipidemia, may partly replace prescription drugs, and pharmacists will be required to advise patients on the proper use of these drugs. At present, the curriculum unit “Learn over the counter” is a part of the model core curriculum of the pharmacy practice externship. However, there is a gap between the general instructional objective (GIO) of this unit and the occupational ability of current pharmacists. To fill the gap, it is necessary to create a new instructional program on campus as a part of the 6-year pharmacy education program. We have developed a new approach that includes specific behavioral objectives (SBOs) for OTC, supplements and health consultation. The effectiveness of this approach was evaluated by means of a questionnaire survey and a text-mining approach based on free description. The results indicated that pharmacy students realized the importance of self-medication. In addition, they understood the responsibility of pharmacists in relation to the prevention of disease onset, the provision of advice on appropriate OTC drugs, interaction with the patient and provision of drug information. We consider that our approach will be helpful to educate pharmacists about the need to promote effective self-medication.

著者

早川 裕二 大津 史子 矢野 玲子 三輪 一智 後藤 伸之

出版者

一般社団法人日本医療薬学会

雑誌

医療薬学 (ISSN:1346342X)

巻号頁・発行日

vol.33, no.6, pp.488-495, 2007 (Released:2009-02-02)

参考文献数

20

被引用文献数

2 1

---

The purpose of this study was to identify drugs with a risk of causing Stevens-Johnson syndrome (SJS),toxic epidermal necrolysis (TEN) and drug-induced hypersensitivity syndrome (DIHS) and the risk factors involved.From the CARPIS (Case Reports of Adverse Drug Reactions and Poisoning Information System) database,which contains 40,000 case reports of adverse drug reactions,we determined 258 cases (case group) matching the criteria for SJS/TEN/DIHS stated by the Japanese Ministry of Health,Labour and Welfare.We also selected 774 control cases (control group) which were sex- and age- matched (±1)with the case group.Next,various data were compared between the case group and the control group and the results analyzed statistically.In this regard,logistic regression analysis identified 2 drugs - carbamazepine (odds ratio : OR=5.21,95% confidence interval : 95% CI=2.68-10.06)and acetaminophen (OR=3.41,95% CI=1.12-10.51)that were associated with a significant elevation of the risk of SJS and TEN.Further,mexiletine hydrochloride (OR=205.48,95% CI=28.04-2330.89)and diaminodiphenylsulfone (OR=981.56,95% CI=94.84-25212.82),were found to be associated with a significant elevation of the risk of DIHS.By identifying certain risk factors for SJS,TEN and DIHS,the results of the present study would be useful in preventing severe drug reactions.

著者

加藤 博史 倉田 洋子 岸 里奈 近藤 純代 吉見 陽 川村 由季子 福島 久理子 水野 智博 脇 由香里 伊藤 達雄 山田 清文 鍋島 俊隆 野田 幸裕

出版者

一般社団法人日本医療薬学会

雑誌

医療薬学 (ISSN:1346342X)

巻号頁・発行日

vol.35, no.1, pp.24-30, 2009 (Released:2010-02-07)

参考文献数

6

被引用文献数

3 3

---

In February 2005,Meijo and Nagoya Universities concluded an agreement with Nagoya University Hospital under which a resident faculty is stationed at the hospital.Nine graduate students are assigned to the resident faculty under whose guidance they engage in a variety of activities which include inpatient and outpatient pharmaceutical services under pharmacists and clinical research in collaboration with doctors at Nagoya University Hospital.In addition,our universities conduct practical training for fourth-year students for four-week periods each year from May to July.In 2007,a total of 41 students participated in the practical training at Nagoya University Hospital.Under the guidance of the resident faculty,graduate students instructed the students in activities conducted in hospital wards and the outpatient asthma clinic (we call this“age-mixing”).After the four-week training programs,a questionnaire survey was conducted to determine the participants’views concerning the training schedule,content of the training and the“Age-mixing Method”.The trainees had a favorable impression of the training with many selecting the responses“Our training went very well thanks to the support of the resident faculty”,“We learned a lot form graduate students”,“The Age-mixing Method is very useful for trainees”and“We realized that‘teaching is learning’”.The introduction of the Age-mixing Method not only allowed trainees to learn from graduate students,it also enabled graduate students to review and reinforce their knowledge and skills through teaching.We therefore believe that the Age-mixing Method is useful for both student trainees and graduate students.